Foodworks Volunteer Application
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Name: *
Pronouns:
Date of Birth: *
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Phone number: *
Email Address *
Address:
Are you currently employed? If so, where and what is your current position?
Previous Work Experience:
Previous Volunteer Experience:
Why are you interested in volunteering with Foodworks?
Are you a shareholder with the Brattleboro Food Co-op looking to complete your service hours?
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Do you have a community service requirement? If so, specify what it is (i.e. set amount of hours, ongoing, etc.)
Have you ever been convicted of a crime other than a traffic violation?
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If yes (above), please give your charge(s), date(s) convicted, and where you were charged:
How often are you interested in volunteering and for how many hours? (We prefer volunteers to volunteer one or more shifts per week for at least 2 hours per shift).
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What days are you potentially open to volunteering? (just give your best estimate if unsure, we will figure this out more in-depth at a later date)
Here are some roles that volunteers can fill:
Are there any tasks that you are uncomfortable performing (such as heavy-lifting or coming in contact with individuals)? *Volunteering in the food shelf and as a delivery driver both require the ability to lift up to 50lbs with ease.*
Do you have a reliable vehicle?
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Please list two references of people who know you well, preferably people you have volunteered or worked with, along with their contact information and how you know them:
Emergency Contact Name and Phone Number:
Is there anything else you would like to add to your application that you think we should know?
Have you been vaccinated against Covid-19?
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If you answered yes to the question above, when was the date of your last dose?
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**Important: All volunteers and staff are required to wear proper face coverings inside of Foodworks and while making deliveries. If you have recently felt sick, have come into contact with anyone suspected or confirmed to have Covid-19, or have traveled anywhere outside of the state according to the VT Dept. of Health within the past two weeks (if you have not been vaccinated), we ask that you stay home until you have completed your two week quarantine or been confirmed negative**
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This form was created inside of Groundworks Collaborative.